@article{ref1,
title="The epidemiology of Scottish trauma: a comparison of pre-hospital and in-hospital deaths, 2000 to 2011",
journal="Surgeon: journal of the Royal Colleges of Surgeons of Edinburgh and Ireland",
year="2015",
author="Morrison, Jonathan J. and Yapp, Liam Z. and Beattie, Anne and Devlin, Eimar and Samarage, Milan and McCaffer, Craig and Jansen, Jan O.",
volume="14",
number="1",
pages="1-6",
abstract="AIMS: To characterise the temporal trends and urban-rural distribution of fatal injuries in Scotland through the analysis of mortality data collected by the National Records of Scotland. <br><br>METHODS: The prospectively collected NRS database was queried using ICD-10 codes for all Scottish trauma deaths during the period 2000 to 2011. Patients were divided into pre-hospital and in-hospital groups depending on the location of death. Incidence was plotted against time and linear regression was used to identify temporal trends. <br><br>RESULTS: A total of 13,100 deaths were analysed. There were 4755 (36.3%) patients in the pre-hospital group with a median age (IQR) of 42 (28-58) years. The predominant cause of pre-hospital death related to vehicular injury (27.8%), which had a decreasing trend over the study period (p = 0.004). In-hospital, patients had a median age of 80 (58-88) years and the majority (67.0%) of deaths occurred following a fall on the level. This trend was shown to increase over the decade of study (p = 0.020). In addition, the incidence of urban incidents remained static, but the rate of rural fatal trauma decreased (p < 0.001). <br><br>CONCLUSIONS: Around a third of Scottish trauma patients die prior to hospital admission and the predominant mechanism of injury is due to road traffic accidents. This contrasts with in-hospital deaths, which are mainly observed in elderly patients following a fall from standing height. Further research is required to determine the preventability of fatal traumatic injury in Scotland.<p /> <p>Language: en</p>",
language="en",
issn="1479-666X",
doi="10.1016/j.surge.2015.02.001",
url="http://dx.doi.org/10.1016/j.surge.2015.02.001"
}